hepatoportoenterostomy of Kasai
Last reviewed 01/2018
This operation is used in biliary atresia where direct anastomosis of the biliary tree and gut cannot be achieved.
This rationale for this operation is that minute bile duct remnants, representing residual channels, may be present in the fibrous tissue of the porta hepatis, and in direct communication with the intrahepatic ductule system.
The operation involves transection of the porta hepatis with anastomosis of the bowel mucosa to the proximal section of the transection so as to allow drainage of the bile.